Jessica Gardner Williams, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP1988 Issued in AZ

Practice address

18511 N Scottsdale Rd
Suite 202
Scottsdale, AZ 85255

Phone

(480) 306-7242

Fax

(480) 306-6246

NPI assigned

Sep 27, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Pain and Wellness PLC

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1659812444
  Medicare reassignment NPD
• Innovative Pain and Wellness PLC

  • Pain Medicine (Anesthesiology) Physician
  • Scottsdale, AZ
  • NPI 1396428009
  NPD
• Mountian View Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Scottsdale, AZ
  • NPI 1396061065
  NPD (past)
• Pain Management Clinic

  dba Arizona Pain Clinic

  • Interventional Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1619147865
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609967538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18511 N SCOTTSDALE RD",
            "address_2": "SUITE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-306-7242",
            "fax_number": "480-306-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 N SCOTTSDALE RD",
            "address_2": "SUITE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-306-7242",
            "fax_number": "480-306-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JESSICA",
        "middle_name": "GARDNER",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Sue Williams, OT
• Erica Jean Williams, PHD
• Frank Williams, PHARMD
• Gary Vincent Williams Jr., DDS
• James W Williams, M.D.
• John L Williams Jr., MD
• Karen Lee Williams, LPC
• Kenneth James Williams, D.M.D
• Kevin T Williams, PT, DPT, CSCS
• Lawrence Albert Williams III, MD

• Family Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.